The purpose of this activity is to analyze and compare different health insurance plans and to calculate the amount of out-of-pocket expenses paid on insurance claims given different scenarios. Directions Use the health plan comparison sheet to calculate what each out-of-pocket medical expense will be under each insur- ance plan, Health Choice or Super Health, and record your answers in the chart below. When you begin, your deductible has not been met. (The fees listed next to each item are what the services cost without any health insurance.) SERVICE AND COST 1. Doctor's office visit for a sore throat and cough fin network) $95 2. Emergency room for stitches [in network! $115 COST WITH HEALTH CHOICE COST WITH SUPER HEALTH 3. Appendectomy (in network] . Two-night hospital stay $2,000 ' Surgery $14,000 DEDUCTIBLE NOW MET Prescription (brand) $185 4. Eye exam (in network] $45 5. Urgent care (out of network) $85 6. Prescription (generic) $85 7. Prescription (brand, out of network) $225 8. Annual physical (in network) $95 9. Emergency room for snow board accident (concussion, broken leg, x-rays, etc.] $6,500 10. Urgent care (in network) $105 9 Activity: Health Plan Overview (2/2) Health Plan Comparison Sheet SERVICE AND COST Emergency Room Urgent Care Surgery Hospital Care Prescriptions Physician Office Visit Vision Deductible Maximum Out of Pocket HEALTH CHOICE $25 co-pay IN NETWORK: $10 co-pay; 100% for initial exam for accident/medical emergency OUT OF NETWORK: 80% of approved amount after deductible, 100% of approved amount for initial exam for accident/medical emergency IN NETWORK: 100% of approved amount OUT OF NETWORK: 80% of approved amount after deductible IN NETWORK: 100% of approved amount OUT OF NETWORK: 80% of approved amount after deductible SUPER HEALTH 90% of approved amount after deductible 100% of approved amount for accidental injury 90% of approved amount after deductible 100% of approved amount 100% of approved amount plus $5 per day for private room IN NETWORK: Co-pay $5 generic/$10 brand Co-pay $5 generic/brand OUT OF NETWORK: 75% of approved amount IN NETWORK: $5 co-pay; 100% approved amount for initial exam for injury/medical emergency OUT OF NETWORK: 80% of approved amount after deductible; 100% approved amount for initial exam for injury/medical emergency IN NETWORK: $10 co-pay for one exam per calendar year OUT OF NETWORK: 80% of approved amount after deductible IN NETWORK: None OUT OF NETWORK: $250 individual per calendar year IN NETWORK: None OUT OF NETWORK: 100% after payments reach $2,500 90% of approved amount after deductible; 100% for accidental injury 90% of approved amount after deductible $250 per calendar year 100% after payments reach $1,000